Is Barthel Index Suitable for Assessing Activities of Daily Living in Patients With Dementia?

ABSTRACT:

Objectives

To evaluate application of the Barthel Index (BI) in assessing basic activities of daily living (ADL) of patients with dementia using Rasch analysis.

Design

A multi-country cross-sectional study.

Setting and participants

Nineteen long-term care facilities located in China, Japan, South Korea, and Thailand. A total of 644 patients with dementia were included.

Methods

Unidimensionality, global and item fit, local dependence, person-item targeting, threshold disordering, and differential item functioning (DIF) were examined. Negative correlations between scores for DIF items and Neuropsychiatric Inventory Nursing Home version (NPI-NH) were evaluated.

Results

Item reliability (1.0) and person reliability (.88) were acceptable. The Rasch dimension

SUBMITTER: Yi Y 

PROVIDER: S-EPMC7225343 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature